Professional Documents
Culture Documents
Infusion Pump
Operator’s Manual
© 2011-2014 Shenzhen Shenke Medical Instrument Technical Development Co., Ltd.
All rights reserved.
Version: 2.0
I
Intellectual Property Statement
II
Responsibility of the Manufacturer
SK Medical reserves the right to modify the Operator’s Manual without further notice.
The modified parts will be present in the new edition of Operator’s Manual.
SK Medical is not responsible for any software and devices supplied by companies
other than SK Medical or supplied by distributors.
SK Medical is responsible for the safety, reliability and performance of the product on
condition that all the following conditions are satisfied:
WARNING
The device must be operated by professional clinicians or under the
guidance of professional clinicians. The users must receive adequate product
training. No unauthorised or untrained personnel should carry out any
operation.
III
Warranty
Exemptions
SK Medical's obligation or liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or consequential damages
or delay resulting from the improper use or application of the product or the use of parts
or accessories not approved by SK Medical or repairs by people other than SK Medical
authorised personnel.
IV
Company Contact
V
Preface
Intended Audience
This Operator’s Manual is only applicable to use by suitably qualified clinicians.
Illustrations
All illustrations in this Operator’s Manual are used for reference only. Settings or data
shown may not be entirely consistent with the actual information displayed on the
product.
Conventions
Italic text is used in this manual to quote referenced chapters or sections.
The terms “Danger”, ”Warning”, and “Caution” are used throughout this manual
to point out hazards and to designate a degree or level of severity.
VI
Contents
1 Safety .................................................................................................................. 1-1
1.1 Safety Information ............................................................................................. 1-1
1.1.1 Dangers ................................................................................................ 1-2
1.1.2 Warning ................................................................................................. 1-2
1.1.3 Caution.................................................................................................. 1-4
1.1.4 Note ...................................................................................................... 1-5
1.2 Labels and Symbols .......................................................................................... 1-6
1.2.1 Equipment Symbols .............................................................................. 1-6
1
4 Operation Guide ................................................................................................. 4-1
4.1 Operation Flow Chart ........................................................................................ 4-1
4.2 Operating Instructions ....................................................................................... 4-2
4.2.1 Turning on the Pump ............................................................................. 4-2
4.2.2 Installing the Infusion Tube ................................................................... 4-3
4.2.3 Setting Parameters ............................................................................... 4-4
4.2.4 Zeroing the Volume ............................................................................... 4-5
4.2.5 Starting the Infusion .............................................................................. 4-6
4.2.6 Infusion Finished ................................................................................... 4-6
4.2.7 Turning off the Pump ............................................................................. 4-6
2
6.3.3 Alarm Information .................................................................................. 6-2
6.4 Alarm Countermeasures ................................................................................... 6-3
3
FOR YOUR NOTES
4
1 Safety
1.1 Safety Information
The safety statements presented in this chapter refer to basic safety information that
the operator must pay attention to and abide by when using the infusion pump.There
are additional safety statements in other chapters or sections, which may be the
same as or similar to the following, or specific to particular operations.
Dangers
Indicates an imminent hazard that, if not avoided, could result in death,
serious injury or damage to product/property.
WARNING
Indicates a potential hazard or unsafe practice that, if not avoided, could
result in death, serious injury or damage to product/property.
CAUTION
Indicates a potential hazard or unsafe practice that, if not avoided, could
result in minor personal injury, product malfunction or damage to
product/property.
NOTE
Provides application tips or other useful information to ensure that you
get the most out of the product.
1-1
1.1.1 Dangers
Dangers
The infusion tube must be installed straight and level in the bottom of
the groove on the infusion pump.
1.1.2 Warning
WARNING
This infusion pump is used for clinical infusion. It can only be used by
professional clinicians, medical electrical experts, or suitably trained
nurses on specific occasions.
The infusion pump and its accessories must be inspected before use to
guarantee their normal and safe operation.
Avoid using this infusion pump in a flammable or explosive atmosphere
in case of fire outbreak or explosion.
Alarm levels must be set at levels appropriate to the patient's clinical
condition.Do not rely too heavily on the audible alarm system during
infusion supervision. Pay close attention to the actual clinical situation
of the patient.
Keep monitoring the remaining liquid volume in the infusion bags (or
infusion bottles) and check that there are no air bubbles in the infusion
tubes during the infusion. Do not rely solely on the alarm function of the
infusion pump.
The pressure sensor may not work normally in high-pressure
environments, for example during hyperbaric oxygen therapy.
Make sure the blood vessel is well protected before infusion.
Infusion tube knots, filter coagulation and occlusions arising from
needle insertion can cause the pressure inside the infusion tube to
rise.If this occurs, the effort to eliminate the occlusion may cause an
excessive dose of liquid to be infused into the patient’s
body.Appropriate measures should be taken to prevent overdose.For
example,the infusion tube should be clamped before eliminating the
occlusion.
This infusion pump should be used 120 cm above or below the patient’s
heart.
1-2
Avoid using the infusion pump when an alarm is sounding.
When another set of infusion systems or accessories is connected to
the infusion tube used in this infusion pump, the operation of this pump
may not meet its specifications.
Only standard components, connectors and disposable products can be
used with this pump.Subsidiary items must not be attached to the pump
and its accessories. Modification of the pump is prohibited and may lead
to unexpected consequences.
The pump's accuracy will not be maintained when it is used with a
non-standard infusion tube or the parameters of the infusion tube are
not set accurately. The maximum deviation may reach 40% or above.
Disposable accessories must be disposed of after use in accordance
with the relevant hospital regulations.
This infusion pump belongs to Class II (type of electric shock
protection); the supplied Type I power cord PE earth terminal should not
be used as ground protection and functional earthing.
Do not open the casing of the infusion pump, as you may suffer an
electric shock.The infusion pump must be maintained or updated by
maintenance staff trained and authorized by our company.
The packaging materials must be disposed of in compliance with local
laws and regulations or the hospital policy on waste management.They
must be kept out of the reach of children.
The double thickness of the infusion tube should be between 0.8
mm–1.2 mm. The outer diameter should be between 3.5 mm–4.5 mm.
Otherwise, its accuracy cannot be guaranteed, and may cause serious
injury to patients.
1-3
1.1.3 Caution
CAUTION
Please use the accessories specified in this Operator’s Manual to
guarantee the patient’s safety.
Cables must be connected carefully to reduce the possibility of the
patient choking or getting caught in them.
Disposable accessories must be used once only. Repeated use may lead
to deterioration in performance or cross-infection.
After installation of the infusion tube and before infusion, check for
leakages. If any are found, they should be rectified as soon as possible.
Adjust the fixing site of the infusion tube every 4 hours after infusion
begins, in order to guarantee its accuracy.Replace the infusion tube
after the infusion has been running for 24 hours.
When this infusion pump and its accessories exceed their service life,
they must be disposed of in accordance with local statutes or hospital
regulations.If you have any queries, please contact your distributor or
the manufacturer.
Electromagnetic fields may influence the performance of the infusion
pump. Therefore, equipment or devices used in the vicinity of the
infusion pump must meet the EMC standard.Mobile phones, X ray and
MRI equipment are all potential interference sources because of their
high-intensity electromagnetic radiation.
Avoid direct sunshine, high temperatures and humidity.
Avoid exposing this infusion pump to high-pressure sterilization or
chemical materials.
Check the built-in battery before use to make sure it has sufficient
power.Recharge the battery if necessary.
Before the infusion pump is connected to the power supply, make sure
the voltage and frequency of the power supply comply with the label on
the pump or the specific requirements outlined in this Operator’s
Manual.
Please install and carry the infusion pump appropriately to protect the
pump from being dropped, knocked, violently shaken, or suffering other
damage caused by forces external to the machine.
Use a piece of soft cloth dampened with warm water to wipe the surface
of the infusion pump if any liquid is spilled on it.
If the surface tension, specific gravity and viscosity of the feed solution
1-4
are different from saline (for example, a solution mixed with surfactant),
the pump accuracy for delivery of solution may be different from the
accuracy listed here.
When the infusion rate is high (≥ 1000 ml/h), high-quality silicone tubes
with 0.9 mm transfusion needles must be used with the pump in order to
maintain infusion accuracy.
If the infusion pump fails to work as specified in the Operator’s Manual
and the cause is uncertain, stop the infusion and report the situation
(including infusion accessories used with the pump, infusion volume,
infusion rate, serial number, liquid type, etc.) to your distributor or the
manufacturer.
The drop sensor is not applicable to light-proof medicine infusions.
Adopting light-proof IV sets on the pumps might cause the drop sensor
to fail and result in serious injury to patients.
1.1.4 Note
NOTE
Keep this Operator’s Manual near to the infusion pump for ease of future
reference.
Install the infusion pump where convenient for its supervision, operation
and maintenance.
This Operator’s Manual describes all the settings and functions of the
infusion pump in its most complete functional configuration. The
infusion pump you are handling may not have some of the settings or
functions described herein.
Do not insert devices that are not specified by the manufacturer into the
data ports.
1-5
1.2 Labels and Symbols
1.2.1 Equipment Symbols
Stop Settings
Start Silence
Clear Bolus
ON/OFF Select
Fragile item, handle with care Protect from rain during transport
1-6
2 Overview
2.1 Product Description
2.1.1 Indications for Use
This infusion pump is for use in wards, operating theaters, and observation rooms for
accurate and continuous infusion to patients.
WARNING
The infusion pump and its accessories must be inspected before use to
guarantee their normal and safe operation.
CAUTION
The operating environment and power supply of this infusion pump
must meet the requirements specified in A. Product Specifications.
2.1.2 Contraindications
None
2-1
2.1.3 Product Appearance, Parts and Features
The SK-600Ⅱ Infusion Pump mainly comprises a host computer, internal
rechargeable battery and other parts.
2-2
2.2 Product Exterior
2.2.1 Front View
2-3
7. Handle
Pull the handle up:to install or remove the infusion tube.
Push the handle down:to tightly clamp the tube and prevent the handle from
protruding at the side.If the infusion tube is correctly installed, the running indicator
light will illuminate when the handle is pushed down. Otherwise, reinstall the tube.
8. UP/DOWN keys
UP key:Move cursor up or increase value.
DOWN key:Move cursor down or decrease value.
9. OK key
Enables the value of the selected parameter to be adjusted;
Confirms the current setting;
In Run state, press this key to change the rate.
10. STOP key
During infusion, press this key to stop infusion;when an alarm is sounding, this
key will also silence the alarm (except battery alarms).
In the Accuracy Calibration and Pressure Adjust screens, cancels current setting
and exits the screen.
11. START/BOLUS key
In stop status, if the infusion tube is correctly installed, pressing this key starts
infusion.
In the Run screen, press and releaseto enter the Auto Bolus setting screen. After
setting the parameters, press and release once again to enter Bolus state.
In the Run screen, press and holdto start Bolus; on release the pump will return
to the original flow rate.
12. SET key
Switches the infusion mode.
In the Advanced Setting screen, saves the current setting and exits the screen.
In the Run screen, press and hold to lock;In locked state, press and hold to
unlock.
13. POWER key
To turn on the machine:press and release.
To turn off the machine:press and hold until the progress bar completes, then
release.
14. POWER ON light
Shines steady green when the pump is switched on.
2-4
15. SELECT key
Used to select the increment/decrement step,which is displayed in the middle of
the screen title bar.
16. CLEAR/SILENCE key
In the Stop Mode settings screen, press this key to clear the accumulated
volume.
When entering parameters, use this key to return parameter to its minimum
value.
When an alarm occurs in the Run screen, press this key to pause the alarm tone
for 2 minutes (except battery alarms).
In the Auto Bolus screen, press this key to restore the original flow rate.
2-5
2.2.2 Rear View
2-6
2.3 Screen Display
This infusion pump has a built-in LCD screen. The display information comprises
three main parts:
1. Title bar
Displays the currently selected infusion mode, increment/decrement step and
infusion tube category.
Infusion mode:4 modes in total — Rate Mode, Time Mode, BW (Body Weight)
Mode and Drop Mode.
Increment/decrement step:selectable step values are 0.1, 1, 10, 100 and 1000.
Infusion tube type:the user-defined infusion tubes A, B, and C represent different
types of infusion tube.
2. Parameter area
Displays all the parameter values for the current mode.
3. Status bar
Displays infusion pump alarm information, pressure status, status icon and power
icon.
Alarm information:Finish, Occlusion, etc.
Pressure status:indicates the current pressure of the infusion tube.
Status icon:displays the current status of the infusion pump. The four possible
statuses are Stop, Run, KVO or Bolus.
Power icon:
a) When connected to the AC power supply and the battery is fully charged, the
screen shows a power plug;
b) When connected to the AC power supply and the battery is not fully charged,
the screen shows the battery charging icon;
c) When disconnected from the AC power supply, the screen shows the battery
icon and the remaining charge.
2-7
2.4 Battery
2.4.1 Description
This infusion pump uses a built-in rechargeable battery to guarantee the normal use of
the pump during patient transfers or power outages in the hospital.The battery will
automatically charge itself when the pump is connected to the AC power, both in Power
On and Power Off mode.The pump will operate with its battery in the event of a sudden
power failure.
The battery can only provide power for the pump to operate normally for a certain length
of time.Once the battery reaches its minimum charge, the pump will emit an alarm tone
every few seconds and display the words "Low Battery" to notify the user;After a certain
length of time, the pump will emit a rapid beeping alarm tone and display the words
"Battery Empty" with the alarm indicator light flashing. If the pump is running at this time,
it will automatically stop the infusion and will not operate until it is connected to the AC
power.The battery empty alarm will only stop sounding after the pump is connected to
the AC power.
The alarm indicator light and battery icon both indicate the battery's current status:
When the battery is empty, the red alarm light flashes.
When the battery is low, the amber alarm light flashes.
When not connected to the AC power supply, the amber alarm light glows steady.
When charging, the AC indicator light glows steady amber and the battery
charging icon is displayed in the lower-right corner of the screen.
NOTE
8-14 hours are required to fully charge an empty battery.
Please discharge the battery every 3 months to prevent damage to the
battery if the product is not in regular use.
The battery can be replaced. Please replace it when it no longer holds
adequate charge.
If you have any queries, please contact the distributor or the
manufacturer.
2-8
For safe use and longer battery life, please adhere to the following battery
guidelines:
The battery should be checked annually.Before the pump is sent for
maintenance or if you suspect the battery to be the cause of a problem, the battery
should be checked.
Optimize the battery every 3 months of use (or storage), or once the battery
running time is significantly shortened.
WARNING
Use the battery specified by the manufacturer.
Please replace the battery immediately if it is damaged or leaking.
Damaged batteries must not be used.
Used batteries must be returned to your supplier or the manufacturer, or
disposed of in accordance with applicable laws and regulations.
NOTE
The actual battery capacity will reduce after the battery has been used for
some time.If the battery capacity is obviously shortened during optimization,
please replace the battery.
2-9
2.4.3.2 Checking the Battery
Regular battery checks are required because battery function may deteriorate as it
is used.
NOTE
If the battery only provides power for a short time after being fully
charged, it may be damaged or faulty.The battery’s power supply time
depends on the usage frequency of the pump and its setting parameters.
If the battery has obvious damage (e.g. misshapen, dented, leaking) or
cannot hold charge, it should be replaced and recycled.
WARNING
The battery must not be disassembled, burned or
short-circuited.Burning, exploding or leaking batteries can cause
personal injury.
2-10
3 Installation and Maintenance
3.1 Installation
WARNING
The software copyright of this infusion pump belongs to our company.
Any infringement such as falsification, reproduction or exchange by any
means or in any form by any organization or individual is prohibited
without permission.
If the packaging is intact, please open it immediately, carefully remove the infusion
pump and its accessories, and inspect them against the packing list.Examine the
pump for any mechanical damage and ensure that the box includes all items on the
packing list.Please contact our customer service department immediately if you have
any queries.
WARNING
Please keep packaging materials out of the reach of children.The
packaging materials must be disposed of in compliance with local laws
and regulations or the hospital policy on waste management.
NOTE
Please keep the packing case and packaging materials for future
transport or storage.
Please contact the distributor or the manufacturer if any of parts are
missing when you open the box.
3-1
3.1.2 Operating Conditions
The operating environment of this infusion pump must meet the requirements in A.2
Environmental Specifications.
WARNING
Ensure that the operating environment and power supply meet
environmental requirements and the power supply requirements
specified above. Otherwise, the infusion pump will not meet the
technical specifications outlined in A. Product Specifications, and this
may also cause unexpected consequences such as damage to the
device.
The power supply must be selected in accordance with the settings for
the system power voltage.Otherwise, it may cause severe damage to the
system.
3-2
3.1.4 Fixing the Infusion Pump
Figure 3-1
3-3
Procedure for installing infusion pump onto infusion pump stand:
1. As shown in Fig. 3-2, for convenience, rotate the clamp knob counter-clockwise and
make enough room for the installation of the pump on the stand.
2. As shown in Fig. 3-3, place the stand in line with the clamp, and then turn the clamp
knob clockwise until the infusion pump is securely installed on the stand.
NOTE
NOTE
NOTE
This section should be used with the optional drop sensor. The user may
skip the instructions in this section if a drop sensor is not included with
the infusion pump.
The drop sensor function can only be started when the rate ≤ 400 ml/h.
Otherwise, the excessively high drop rate will cause the drop sensor to fail
3-4
Fig. 3-4 Fig. 3-5
1. Firmly insert the drop sensor power plug into the connecting port on the rear panel; at
the same time, the volume of the liquid in the filter must be less than 1/3 that of the filter
volume.
2. As shown in Fig. 3-5, clip the drop sensor to the liquid filter (by manually applying
pressure as shown in Fig. 3-4), making sure that the drop sensor is above the surface of
the liquid.
NOTE
The surface of the liquid in the filter must be lower than the drop sensor.
The positioning block of the filter must be inserted vertically through the
positioning groove on the drop sensor.
The infusion tube must be replaced once it has operated continuously
for over 24 hours.
Do not tilt the drop sensor, or expose it to direct sunlight during
infusion.
Make sure that the medicine liquid filter is not clamped too tightly by the
drop sensor.
3-5
3.2 Maintenance
WARNING
The hospital or medical facility using this infusion pump must set up a
comprehensive maintenance plan. Failure to do so may result in device
failure or other unexpected consequences, and may even jeopardize
personal safety.
All safety inspections or maintenance work involving the disassembling
of the pump must be conducted by professional maintenance personnel.
Action by unqualified persons may result in device failure and even
jeopardize personal safety.
Please contact your distributor or the manufacturer immediately if you
discover any problem with the pump.
3.2.1 Inspection
The pump must be given an overall inspection before use, after it has been in
continuous use for over 6 months, or after maintenance or updating, so as to
ensure that it is operating and functioning normally.
If any pump damage or abnormal circumstances occur, please do not use the
infusion pump, and contact your distributor or the manufacturer immediately.
3-6
3.2.2 Cleaning and Disinfection
The pump must be cleaned or disinfected using the materials and methods listed in
this chapter. Otherwise, our company will not be responsible for any damage or
accident caused by cleaning and disinfection using other materials and methods.
The manufacturer shall not be held responsible for the efficacy of the following
chemicals or methods for infection control.Please contact your hospital's infection
prevention department or epidemiology specialists for advice on infection control
practices.
Please keep the infusion pump and accessories free of dust,and comply with the
following provisions to prevent damage to the pump:
Dilute all cleaning agents and disinfectants in accordance with the
manufacturer’s instructions, or use as low a concentration as possible.
Do not submerge the pump in liquid.
Do not pour liquid onto the device or its accessories.
Avoid liquid entering the pump body.
Do not use abrasive materials (such as steel wool or silver polishing agent) or
any strong xylene or acetone-type solvent, in order to prevent damage to the
outer casing.
WARNING
Turn off the power and disconnect the AC power supply before cleaning
the infusion pump.
CAUTION
If liquid is accidentally spilled on the infusion pump or its accessories and
causes the infusion pump to stop working, please contact your distributor
or the manufacturer.
The infusion pump should be cleaned regularly. The cleaning frequency should be
increased in areas with serious environmental pollution or in very windy or sandy
areas.Before cleaning, please consult or refer to the hospital's specific regulations
concerning medical device cleaning.
3-7
The recommended cleaning agents and disinfectants are:
Warm water
Dilute soapy water
Dilute aqua ammonia
Sodium hypochlorite (bleaching powder for washing)
Hydrogen peroxide (3%)
Ethanol (70%)
Isopropanol (70%)
CAUTION
3-8
3.2.3 Periodic Maintenance
1. Checking the Infusion Flow
Check the infusion flow volume every 3 months using a measuring cylinder and
stopwatch.
WARNING
Operators should not rely solely on the infusion pump detection
function, but should also use their clinical experience to determine
whether the infusion flow rate is normal.
3-9
FOR YOUR NOTES
3-10
4 Operation Guide
4.1 Operation Flow Chart
Fill the infusion bags (bottles) with the prepared liquid medicine,
Prepare Infusion remove any air bubbles, and turn off the infusion tube flow rate
regulator.
1. Open the handle, pull the infusion tube straight and clip it straight and
level into the bottom of the groove on the infusion pump;
Install the Infusion Set 2. Gently fold down the handle (make sure that it does not protrude at
the side); the running indicator will illuminate. Turn on the infusion flow
rate regulator.
Set the infusion parameters Set the parameters, referring to 4.2.3 Setting Parameters.
Observe whether there are any residual bubbles in the extension tube.
Check and remove any air If there are, press the key to start the infusion pump. Press the
bubbles
key again and hold it down to rapidly discharge the bubbles from the
Start Infusion
Press the key.
Disconnect the infusion tube Make sure that the infusion has stopped, then disconnect the infusion
between patient and the pump tube from the patient and remove the infusion tube.
4-1
4.2 Operating Instructions
NOTE
Part of this section covers the Drop Sensor function. If the user needs to
use this function, the drop sensor should be purchased as an accessory to
the infusion pump. For more details, please consult your distributor or the
manufacturer.
3. After a few seconds, the pump will finish self-checking and enter the Run screen.
4. Now the user can operate the pump by means of the operating panel.
NOTE
The power plug symbol displayed on the screen indicates that the pump is
running on AC power.
4-2
4.2.2 Installing the Infusion Tube
①Pull out the door lock as shown by the ②Pull the infusion tube straight
arrow
③Install the infusion tube straight and level in ④Push down the handle after installation
the bottom of the groove on the infusion
pump
4-3
WARNING
Push down the handle after correct installation of the infusion tube when
the pump is in Power On mode. If the running indicator light illuminates,
it means that the infusion tube is correctly installed.Otherwise, the
infusion tube needs to be reinstalled.
When using the same infusion tube, change the part of the tube that is
clamped in the groove of the machine every 4 hours.The infusion tube
must be replaced once it has operated continuously for over 24 hours.
If the infusion tube is loose or pulled too tightly, this may cause an
abnormal infusion volume.
The double thickness of the infusion tube should be between 0.8
mm–1.2 mm. The outer diameter should be between 3.5 mm–4.5 mm.
Otherwise, its accuracy cannot be guaranteed, and may cause serious
injury to patients.
CAUTION
After installation of the infusion tube and before infusion, check for
leakages. If any are found, they should be rectified as soon as possible.
The procedure for setting the parameter values in each infusion mode is as follows:
Step 1: Press the or key to move the cursor up or down and select the
parameter that requires setting;
Step 2: Press the key to enable the currently selected parameter to be adjusted;
value.Press the key to cycle through the steps: 0.1, 1, 10, 100, and 1000.
4-4
Step 5: After selecting the step, press the or key again to increase or
decrease the current parameter value by the selected step.Step 6:Repeat the above
operations to set the other required values.Finally, press the key to save the
settings.
NOTE
The accumulated volume (Σ) is the fluid volume that has accumulated
during the infusion, and cannot be set. Press the key in stop
status to clear the accumulated volume.
NOTE
The accumulated volume can only be cleared when the infusion pump is
in stop status.
4-5
4.2.5 Starting the Infusion
After setting all the parameters and installing the infusion tube correctly, press the
key. The motor will begin to run and the pump will start infusing. The running
indicator light will flash during infusion.
NOTE
The pump will stop working automatically once the critically low battery
alarm sounds during infusion.
2. Press and hold the key until the Power Off progress bar completes, then
release the key and the power will turn off.
NOTE
The flow rate and other parameters will reset to the default values after
the machine is turned off.
Parameters in Advance Settings will be permanently saved after the
machine is turned off.
4-6
5 Functions and Screens
5.1 Infusion mode
After the infusion pump is turned on by pressing the key, the pump defaults to Rate
Mode if the previous settings are not used. You can switch to other infusion modes by
pressing the key. As shown below, pressing the key sequentially displays
the setting screens for Rate Mode (Fig. 5-1), Time Mode (Fig. 5-2) and BW Mode (Fig.
5-3).
In the Rate Mode setting screen, simultaneously pressing the and keys
switches to Drop Mode. Repeat the operation to return to Rate Mode.
WARNING
Please do not turn on Drop function infusion if no drop sensor is
installed.
5-1
NOTE
Table 1
Infusion
Parameters Parameter Range and Description
Mode
Vol. 0.1–9999.9 ml
Time Mode
Volume 0–9999.9 ml
5-2
5.2 Advance Setting
When stopped, simultaneously press the key and release the key in the
Infusion Mode Setting screen to enter the Advance Setting screen. The three pages
are shown below in Fig. 5-4, Fig. 5-5 and Fig. 5-6, respectively.
Parameters can be set in the Advance Setting screen as shown in Table 2 below:
Table 2
Settable
Parameter Description
Parameters
Bed No. 1 - 1000
0.1-5.0 ml/h.When infusion is finished, enter KVO mode to continue
running and display the infusion finished report and KVO Rate.The
KVO Rate
KVO volume is added to the total volume and is not displayed
separately.
Manual Bolus adjustable between 100.0 -1000.0 ml/h. Default is 600.0 ml/h.
Tube A, Tube B, Tube C. The user can customize the brand according
Tube to requirements.In order to prevent the mixing of brands, please
record the brand represented by each tube for inspection.
Accuracy 30-108, using a calibrated tube.
Divided into three levels: low, mid and high. The corresponding
pressures are 70 kPa, 100 kPa and 130 kPa respectively (may
Occlusion threshold
fluctuate by ±30 kPa). Default level is "Low".
If occlusion occurs during the infusion process an "Occlusion" alarm
5-3
will be triggered. The infusion pump will enter Anti-Bolus status and
the motor will reverse every 5 seconds.When the motor reaches the
maximum number of reversals, Anti-Bolus will stop and the motor will
enter Stop status.The maximum number of reversals is related to the
occlusion level. The maximum number of reversals for high, mid and
low occlusion levels is 5, 4 and 3 respectively.
Tube specifications and parameters, i.e. the number of drops
Drops/ml contained in 1ml of the drug. Please see tube packaging for
values.Range: 10-60 drop/ml. Default: 20 drop/ml.
Used to set the alarm sensitivity for microscopic air bubbles. Four
levels: Close and levels 1-3. Default is "Close".The higher the filter
AirLevel
level, the larger the capacity of the air bubbles allowed through the
filter.
Used to start and stop the drop function.Also monitors the drop rate
Drop Function
when the infusion pump is stopped.
Can set as off or between 1-5 mins. Default is "Off".Used to set the
Lock Time
keypad locking time.
KeySound On, off.Used to start and stop KeySound.
Audible Alarm
High, mid, low.Used to set the alarm volume.
Volume
NOTE
5-4
5.2.1 Bolus Function
During infusion, there are two ways to deliver bolus infusion: Auto Bolus or Manual
Bolus.
NOTE
Bolus injection can only be started if the current rate is lower than the
current bolus rate setting.
When the pump is running, press and release the key to enter the Bolus
Settings screen as shown in Fig. 5-7, press the key to enable value adjustment,
then press or to set the bolus preset volume limit and bolus rate. After
setting the parameters, press the key to confirm. Finally, press and release the
key to start bolus; the Bolus screen will appear as in Fig. 5-8.During bolus
infusion, press the key to stop bolus and return to the original infusion rate.
NOTE
Auto Bolus preset volume limit setting range is 0.1–99.9 ml. Default is 0.1
ml.
Auto Bolus rate setting range: greater than or equal to the current infusion
rate, less than or equal to the maximum infusion rate.
If no operation is performed within 5 seconds, the pump will automatically
exit the Bolus Settings screen and the procedure must be repeated.
5-5
5.2.1.2 Manual Bolus Function
When the pump is running, hold down the key. The pump will speed up
infusion to the bolus rate for the current syringe, and the Run screen will appear as
shown in Fig. 5-8.After the key is released, the infusion rate will return to its
original value.
first page of the Advance Setting screen (shown in Fig. 5-9). Press the key to
enable value adjustment, and set required values by pressing the key or the
Figure 5-9
NOTE
The bolus function should only be used when infusion is proceeding
normally.
Bolus does not affect any of the alarm functions.
The bolus rate for this infusion pump is adjustable within a range of
100.0–1000.0 ml/h. Default is 600.0 ml/h.
The bolus function cannot be started if the current rate is greater than
the set bolus rate.
The bolus flow volume is added to the cumulative total.
When the rate exceeds 400 ml/h, the drop rate monitoring function will
shut down automatically.
5-6
5.2.2 Drop Rate Function and Setting (Optional)
NOTE
Setting the drop function requires system software support. For details
regarding this optional software, please consult the manufacturer or the
dealer from whom you purchased this product.
WARNING
The drop sensor is not applicable to light-proof medicine infusions.
Adopting light-proof IV sets on the pumps might cause the drop sensor to
fail and result in serious injury to patients.
Fig. 5-10). Press the key to enable value adjustment, and set the function to
"On" by pressing the key or the key to start the drop function.The drop
function default for this infusion pump is "Off". This is an optional function. For further
information, please consult the manufacturer or the dealer from whom you purchased
this product.
Figure 5-10
5-7
5.2.2.2 Setting the Drop Rate for the Infusion Tube
The tube drop parameters will be different for different brands. Please refer to the
parameter descriptions on the packaging of each tube for details.
Select "Drops/ml" on the first page of the User Settings screen (shown in Fig. 5-11).
Press the key to enable value adjustment, and press the key or the
key to set the corresponding drop parameters for each infusion tube.Press the
key to save.
Figure 5-11
NOTE
The range of parameters for tubes is:10-60 drop/ml.
5-8
5.2.2.3 Viewing the Drop Rate screen
In the Rate Mode Settings screen, simultaneously press the key and the
key and then release them to switch to Drop Mode, as shown in Fig. 5-12. Repeat to
return to Rate Mode.
Figure 5-12
NOTE
Drop rate can be monitored in any mode once the drop function has
been started. Drop rate cannot be monitored if the drop function has not
been started.
NOTE
Accuracy calibration and pressure adjustment should be carried out
after changing the infusion tubes used with this infusion pump, prior to
first use, after 6 months of continuous use or after maintenance or
upgrading.
5-9
5.2.3.1 Accuracy Calibration
1. Select "Accuracy Calibration" on the second page of the Advance Setting screen
2. Set the calculation rate (between a range of 50-500 ml/h, recommended value: 300
ml/h);
3. Install the infusion tube as normal, insert into a 100 ml measuring cup and press
the key to start calculating. The screen will display the time remaining;
4. Measure the amount of liquid in the measuring cup once the infusion pump has
stopped running;
5. Enter the actual obtained volume into "Actual Volume";
6. Press the key to exit and save.Note:press the key to exit without
saving.
NOTE
In order to reduce accuracy testing errors, fill the tube with liquid and
ensure there are no air bubbles before testing.
5-10
3. Press the key to start infusion. When the needle on the pressure gauge
4. When the "pressure" has fallen to 100 kPa (the "pressure" can also be set
manually so that it is consistent with the pressure gauge) press the key.
5. Press the key to exit and save.Note:Press the key to exit without
saving.
Figure 5-16
WARNING
The Pressure Adjust screen has no occlusion alarm. To avoid risk of
serious harm to patients, do not perform infusion in this screen.
NOTE
The range of factors is 0.5-2. If the factors exceed this range when
saving, the system will automatically return to the last default pressure
adjust value in the Advance Setting screen.
Pressure adjustments must be carried out on any tubes that are
especially hard or soft;The pump cannot be switched off directly from
the Pressure Adjust screen.
Install the tube correctly. The tube must be positioned appropriately to
ensure that there are no air bubbles in the tube.
5-11
5.2.4 Occlusion Level Settings
Select "Occlusion Level" on the first page of the Advance Setting screen (shown in
Fig. 5-17). Press the key to enable value adjustment, and press the key
Figure 5-17
NOTE
The lower the occlusion level, the higher the occlusion sensitivity.
Press the key to enable value adjustment, and press the key or the
key to select the appropriate air level.If AirLevel is set to Off, no air bubbles are
NOTE
The higher the AirLevel, the larger the capacity of the air bubbles
allowed through the filter.
5-12
Figure 5-18
5-19). Press the key to enable value adjustment, and press the key or
the key to select the appropriate prompt time limit. This function can also be
set to "Off".
Figure 5-19
5-13
5.2.7 Locktime Settings
In order to prevent the patient touching the keys on the infusion pump or abnormal
infusion occurring due to uncertain factors during the infusion process, the infusion
pump is equipped with a key lock function.There are two locking methods: automatic
and manual.
Manual Locking: Press and hold the key in the Run screen to lock the
keyboard.
Unlocking: Press and hold the key to unlock the keyboard in all lock
statuses.If an alarm is triggered, the infusion pump will unlock automatically.
NOTE
The above locking and unlocking functions are only effective in the Run
screen.
If an alarm is triggered, the infusion pump will unlock automatically.
5-14
5.2.8 Audio Volume
Both the Alarm Volume and the KeySound for this infusion pump are adjustable. The
user can set the Alarm Volume to high, medium or low level as required.KeySound
can be set as "On" or "Off".
On the second page of the Advance Setting screen (Fig. 5-23 shows the Alarm
Volume Settings screen and Fig. 5-24 shows the KeySound setting screen).Select
key to enable value adjustment, and press the key or the key to
Fig. 5-25
5-15
5.2.10 Record
Record enables the user to view the historical usage records of the infusion
pump.The following events and content can be recorded:
Power on (state, time)
Start (state, time, rate, drug, preset volume limit)
Stop (state, time, accumulated volume, drug)
Bolus (state, time, bolus rate)
Rate change (state, time, new rate)
KVO (state, time, KVO rate)
Alarm (state, time, alarm reason)
A record is created whenever the above events occur. The memory can store up to
1500 records. Once the memory is full, the oldest records will be overwritten
first.Select "Record" on the third page of the Advance Setting screen and press the
key to enter the Record screen. All records have a serial number and are
displayed in reverse order. Press the key to view the previous record, press the
key to view the next record.Press the key to exit the Record screen.
Figure 5-26
5.3 Purge
During infusion, the user should prevent air bubbles from entering the blood with the liquid
drug, which may form an aeroembolism and put patients in serious danger. Therefore, air
bubbles in the infusion tube should be eliminated before the infusion. On the parameter
setting interface, hold down , you will be prompted with “Disconnect pump from
5-16
patient! Press and hold “OK” to purge”. Then hold down to purge the system at the
set rate, release after the air bubbles are purged, completing the purge.
WARNING
During the purge, please disconnect the pump from the patient.
Otherwise, the patient will be in serious danger!
Purge rate is the same as manual bolus rate. Set the purge rate in the
parameter Seting Interface, please refer to 5.2.Advance Setting.
The purge accumulated volume is not added to the total volume.
In the Rate Mode screen, press the key as shown in Figure 5-27 to edit the
rate.Press the key to select a suitable step rate and press the key or the
key to set the required rate value.After setting a new rate, press the key.
A confirmation box will pop up as shown in Figure 5-28. Press the key or the
key to confirm. Select 'Yes' to infuse at the new rate or 'No' to continue infusing
at the original rate.
NOTE
When changing the rate in Run state, if no operation is performed within 5
seconds, the setting process will fail and must be restarted.
5-17
5.5 Automatic Pressure Release Function (Anti-Bolus)
If occlusion occurs during infusion, an occlusion alarm will be triggered. The motor
will reverse and pressure will be released automatically.The motor will remain in
reverse until the pressure limit is reached.
shown in Fig. 5-22. Press the key or the key to toggle between “Yes”
and “No”.If you press the key to select “Yes”, then the pump enters the Rate
Mode setting screen and loads the most recently used Rate and PreS values. The
drug parameter defaults to “No Drug”. Make sure that it is safe to proceed, then press
the Start key to commence infusion.If you select “No”, then the last infusion
parameters are automatically cleared and the normal operating process is followed.
Figure 5-29
5-18
5.7 Drug Library
This product is equipped with a drug database to facilitate drug selection.In any
infusion mode setting screen, press the key to move the cursor to “Drug” as
shown in Fig. 5-30, then press the key to enter the Drug Base screen as shown
in Fig. 5-31.Press the key or the key to browse the full list of drugs,
which are displayed in alphabetical order. There are 40 drugs to choose from;
seeTable 3 for the full list.Press in this screen to select the highlighted drug
and exit the screen.After the drug is selected, its name will appear on the Run screen.
5-19
Table 3
No. Drug No. Drug
2 Amiodarone 22 Mannitol
6 Diazoxide 26 Morphine
7 Digoxin 27 Nicardipine
8 Diltiazem 28 Nimodipine
11 Epinephrine 31 Pancuronium
12 Esmolol 32 Phentolamine
15 Furosemide 35 Propofol
5-20
6 Alarms
6.1 Description
Alarms refer to the use of both sound and information displays to alert health care
workers to any abnormalities in the infusion circuit or any faults occurring with the
infusion pump itself during the infusion process, affecting the pump's ability to provide
smooth infusion to the patient.
WARNING
It is potentially hazardous to use the same or similar equipment with
different alarm presets within the same area.
High-level
Red 10 seconds 2.0±0.6Hz 20%-60%
alarms
Mid-level
Yellow 15 seconds 0.6±0.2Hz 20%-60%
alarms
Low-level
Yellow 20 seconds Steady 100%
alarms
6-1
6.3.1 Visible alarms
Visible alarms are flashing indicator lights when an alarm is triggered. Different
alarms trigger different colored indicator lights.
Alarm types:
Air Bubble
Finish
Occlusion
Check Tube
Battery Empty
System Error
Motor Error
Drops Error
Parameter Error
Low battery
Reminder
Handle Open
AC Disconnect
6-2
6.4 Alarm Countermeasures
When an alarm is triggered, please refer to the following steps and take appropriate
measures:
1. Check the patient;
2. Check the alarm type and the parameter which triggered the alarm;
3. Determine the reason for the alarm;
4. Eliminate the reason for the alarm;
5. Check whether the alarm has cleared.
NOTE
Please refer to C - Alarm Information for the specific handling
procedures for each alarm.
6-3
FOR YOUR NOTES
6-4
A Product Specifications
A.1 Safety Specifications
Parameters Specifications
China SFDA
Ⅱ
Classification
Level of electrical
CF
protection
Operating atmospheric
86–106 kPa
pressure
Transport and storage
-20–55ºC
temperature
Transport and storage
10–95%, non-condensing
humidity
Transport and storage
50–106 kPa
atmospheric pressure
Storage conditions In a room with no corrosive gases and good ventilation
A-1
A.3 Power Supply
Parameters Specifications
Alternating current power supply (AC)
Voltage 100–240 V
Current 0.25-0.11A
Frequency 50/60 Hz
Battery
No. of batteries 1
Battery type Rechargeable battery
Rated battery voltage DC 7.4 V
Capacitance 1600 mAh (2400mAh Optional)
Maximum power and 25VA. Able to run normally for at least 2 hours at a rate of
operating time 25 ml/h after charging (2400mAh).
The battery will charge automatically when the infusion
Recharging the battery pump is connected to an AC power source and turned on
(it takes 8-14 hours to fully charge the battery).
Pump unit
Weight ≈1.8 kg
Display
Indicator lights
No. 4
Fuse
Pressure resistance, flow
T 2 A 250 V~
resistance
External ports
A-2
A.5 Auditory Indicator
Speaker Produce an alarm (the sound pressure is 45 - 80 dB)
Infusion pump
Peristaltic
mechanism
Range of infusion
0.1-2000.0 ml/h.
rates
Manual Bolus
100.0 -1000.0 ml/h. Default is 600.0 ml/h.
rate
Auto Bolus
0.1-99.9 ml. Default is 0.1 ml.
preset volume
Increments 0.1
Infusion Mode
RateMode, TimeMode, BW.Mode, DropMode (optional)
Options
A-3
Weight:0.1 - 300.0kg
Dosage:0.1 - 999.9mg
Dose unit:mg, g (the default unit for dosages is mg)
Vol.:0.1 - 999.9ml
Bodyweight (BW)
Mode Infusion dosage:0.1–999.9
Dosage unit:mg/kg/h, ug/kg/min
Rate: Range: 0.1 - 2000.0 ml/h. Specific numerical values are
determined on the basis of weight, dosage, fluid volume and dose
parameters.
Range of preset
0 - 9999.9 ml
infusion volumes
Range of preset
1-6000 mins
times
Display
cumulative 0.1 - 9999.9 ml
volumes
Infusion
±5%
accuracy
Air bubble The minimum detectable volume for air bubbles at a rate of 600
measurement ml/h is 0.005 ml
The maximum producible pressure is 160 kPa. The pressure
Infusion pressure threshold range in which the occlusion alarm will sound is 40-160
kPa. The time of occlusion alarm please refer to A.7.
A-4
A.7 Occlusion Alarm Pressures, Delays for Alarm
Times and Maximum Permissible Dose Volumes
Occlusion
Actual pressure Time to
threshold Flow rate Bolus
at alarm alarm
pressure (ml/h) (ml)
(kPa) (Min)
(kPa)
5 70.93 00:06:50 0.190
70±30 100 70.67 00:00:17 0.283
500 70.80 00:00:03 0.250
5 99.37 00:08:57 0.288
100±30 100 99.20 00:00:30 0.304
500 100.60 00:00:06 0.305
5 130.50 00:12:29 0.378
130±30 100 130.90 00:00:33 0.330
500 130.00 00:00:12 0.663
NOTE
Test conditions:
Pressure at alarm, alarm delays and bolus volume may vary depending on
test conditions.
The data above are only typical values under the testing conditions, and
the actual data may vary against different testing conditions. Please rely
on data obtained from the testing on the product you buy. The bigger the
measured pressure under the same reference clogging value and the same
flow velocity is.
A-5
A.8 Infusion Accuracy Table
The following infusion accuracy table expresses performance after infusion has
started and infusion fluctuations occurring within a certain period of time after normal
infusion flow volumes have been reached.
A-6
A.8.2 Bell-shaped Curve
Flow rate deviation over time (p△t)
NOTE
Infusion accuracy does not reflect clinical criteria, such as patient age and
weight and the specific drug used.
Infusion accuracy may be affected by the pump environment (such as
pressure, temperature, humidity and any infusion accessories used).
A-7
FOR YOUR NOTES
A-8
B EMC and Radio Regulatory Compliance
B.1 EMC
This infusion pump complies with EMC standard EN 60601-1-2.
NOTE
Use of accessories, sensors or cables outside of the specified scope of
this pump may increase electromagnetic emissions and/or lower the
electromagnetic immunity of the pump.
This infusion pump may not be used in close proximity to or stacked
with other equipment.If necessary, closely observe the pump to ensure
that it is able to operate normally under the current configuration.
Special protection must be given to the electromagnetic compatibility of
the infusion pump. Installation and maintenance must be carried out in
an environment that satisfies the following EMC information.
The infusion pump should not be used at the same time as any MRI
(Magnetic Resonance Imaging) or other similar equipment, to avoid the
possibility of the pump malfunctioning or crashing due to
electromagnetic interference.
Even if other equipment is compliant with CISPR emission requirements,
it may still cause interference and affect how the pump operates.
Where electromagnetic signals are weaker than the measuring device's
sensitivity range, measurements may be inaccurate.
Portable and mobile RF communications equipment can affect the
performance of measuring devices.
B-1
Guidance and statements regarding electromagnetic emissions
This infusion pump should be used in the stipulated electromagnetic environments. The
customer or user should guarantee that the infusion pump is used in an
electromagnetic environment that complies with the following regulations:
RF emissions Class B
CISPR 11
B-2
Guidance and statements regarding electromagnetic immunity
This infusion pump should be used in the stipulated electromagnetic environments. The
customer or user should guarantee that the infusion pump is used in an electromagnetic
environment that complies with the following regulations:
Electrical fast ±2 kV power cord ±2 kV power cord The network power source
transient ±1 kV I/O cable must be of typical
(EFT) commercial or hospital
quality.
IEC 61000-4-4
NOTE:UT refers to the voltage of the AC power network before voltage testing
B-3
Guidance and statements regarding electromagnetic immunity
This infusion pump should be used in the stipulated electromagnetic environments. The
customer or user should guarantee that the infusion pump is used in an electromagnetic
environment that complies with the following regulations:
d = 1.2 P
d = 1.2 P 80 M–800 MHz
d = 2.3 P 800 M–2.5 GHz
where P is the rated maximum output
power of the transmitter, in W.d is the
recommended distance, in m.
The field strength of the radio frequency
transmitter obtained by measuring the
electromagnetic fielda must be within
compliant levels for every frequency
rangeb.
May cause interference if used in close
proximity to equipment with the following
symbols:
Note 1:Between 80 MHz–800 MHz, use a formula for higher frequency bands.
Note 2:The above guidance is not suitable for use in all conditions. Material structures,
objects and people can absorb and reflect electromagnetic waves, affecting
electromagnetic propagation.
B-4
a
Field strengths for radio (honeycomb and wireless) handset base stations and terrestrial
mobile radio receiving apparatus, antenna reception apparatus, and FM and AM
radio/television broadcasts cannot be accurately estimated using a purely theoretical
approach.
The use of electromagnetic field measuring methods should be considered when
estimating the electromagnetic environment produced by a fixed radio frequency
transmitter. If the measured field strengths in the environment in which this infusion pump
is used exceed stipulated RF levels, the infusion pump must be observed to check
whether normal operation is possible.Relevant measures must be taken as soon as
abnormalities are discovered, such as changing the position of the infusion pump or
moving it to another environment.
b
In a frequency range of between 150 k–80 MHz, field strength should be less than 3
V/m.
100 12 12 23
If the rated maximum output power of the transmitter is not included above, the isolation
distance may be estimated by using the formula in the corresponding column.In the
formula, P is the rated maximum output power of the transmitter as provided by the
manufacturer, in W.
Note 1:Between 80M-800MHz, use a formula for higher frequency bands.
Note 2:The above guidance is not suitable for use in all conditions. Material structures,
objects and people can absorb and reflect electromagnetic waves, affecting
electromagnetic propagation.
B-5
B.2 Radio Regulatory Compliance
RF Parameter
Description
Item
IEEE 802.15.4
Operating Frequency
2400-2483.5MHz
Band (MHz)
Modulation OQPSK
Transmitter Output
<20dB
Power (Typical)(dBm)
The device configured with the Xbee-PRO wireless module complies with part 15 of
the FCC Rules. Operation is subject to the condition that this device does not cause
harmful interference.
FCC Compliance of the device configured with Xbee-PRO wireless module : This
device complies with part 15 of the FCC Rules. Operation is subject to the following
two conditions: (1) this device may not cause harmful interference, and (2)this device
must accept any interference received, including interference that may cause
undesired operation. Any changes or modifications to this equipment not expressly
approved by our company may cause harmful radio frequency interference and void
your authority to operate this equipment.
This radio device used in this product is in compliance with the essential
requirements and other relevant provisions of Directive 1999/5/EC(Radio Equipment
and Telecommunications Terminal Equipment Directive).
WARNING
Keep a distance of at least 20cm away from the device when Xbee-PRO
wireless module function is in use.
B-6
C Alarm Information
C.1 Alarm Information
NOTE:column A shows whether the alarm can be completely cleared;Column B
shows whether the sound and light can be cleared;column L shows the alarm level.
Alarm Information display A B L Cause Action required
to restart
infusion.
C-1
Alarm Information display A B L Cause Action required
C-2
Alarm Information display A B L Cause Action required
key to restart
infusion. If this alarm
sounds again, please
contact the
manufacturer.
C-3
Alarm Information display A B L Cause Action required
to restart
infusion.
Not connected
AC The AC indicator light Connected to AC
No No Low to AC power
Disconnect does not illuminate. power source.
source.
C-4
D Symbols and Terms
D.1 List of Units
min minute 分钟
h hour 小时
Hz hertz 赫兹
mg milligrams 毫克
g gram 克
kg kilogram 千克
kPa kilopascal 千帕
ml milliliter 毫升
D-1
D.2 List of Terms
D-2
P/N: 046-004735-01(2.0)